National Provider Identifier [NPI]: |
1821211962 |
Last Name Of The Provider |
AL-JABER |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FINDLAY |
Zip Code Of The Provider |
458401214 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
3767 |
Number Of Medicare Beneficiaries |
2129 |
Total Submitted Charge Amount |
643683 |
Total Medicare Allowed Amount |
150803.36 |
Total Medicare Payment Amount |
112623.72 |
Total Medicare Standardized Payment Amount |
117152.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
173 |
Number Of Medical Services |
3767 |
Number Of Medicare Beneficiaries With Medical Services |
2129 |
Total Medical Submitted Charge Amount |
643683 |
Total Medical Medicare Allowed Amount |
150803.36 |
Total Medical Medicare Payment Amount |
112623.72 |
Total Medical Medicare Standardized Payment Amount |
117152.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
427 |
Number Of Beneficiaries Age 65 to 74 |
720 |
Number Of Beneficiaries Age 75 to 84 |
624 |
Number Of Beneficiaries Age Greater 84 |
358 |
Number Of Female Beneficiaries |
1196 |
Number Of Male Beneficiaries |
933 |
Number Of Non Hispanic White Beneficiaries |
2034 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
490 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4944 |